Clinical updates, teaching notes, and editorial context.
A compact update layer for evidence shifts, practical clinical learning, and changes to the reference library. Articles are organised for fast scanning before deeper study.
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- 8 Sept 2026
Evidence notes and learning essays
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Safety
Article archive
3 articles tagged human factors
Never Events: Wrong Site, Wrong Implant, Retained Items
Wrong site surgery is the single most common never event, and orthopaedics owns a disproportionate share of the wrong-implant category. Why they still happen, and what actually prevents them.
OrthoVellum
patient safety / never events
Root Cause Analysis After a Serious Incident
There is rarely a single root cause, and England has now moved away from mandating RCA altogether. What replaced it, how systems analysis actually works, and why hindsight bias ruins most investigations.
OrthoVellum
patient safety / human factors
Running an M&M Meeting That Changes Something
Most morbidity and mortality meetings are a list of cases followed by a shrug. The ones that work share a structure, a classification, and an actions register that gets read out first.
OrthoVellum
clinical governance / patient safety